Patient Flow Coordinator - Admissions | Part Time (rotativo)

Acadia Healthcare; Río Piedras (PR); On-site; USD 40,000 - 65,000; Full time

Job summary

Harboroaks in Puerto Rico seeks a Clinical Admissions Coordinator to manage inquiries, assessments, and admissions to the facility.

The role collaborates with medical and psychiatric staff, verifies insurance, coordinates pre-authorization, and ensures patient safety and quality customer service throughout the admissions process.

Qualifications

• Bachelor’s degree in behavioral science or social services; RN or LPN/LVN accepted as alternative.
• Master’s degree in a therapeutic field preferred where allowed by state law.
• Minimum 1 year clinical or observational experience in the specialty area.

Responsibilities

• Facilitate admissions and assessment processes for incoming patients.
• Respond to inquiries about the facility within policy timeframes.
• Coordinate pre-admission assessments and communicate recommendations to patients/families.
• Collaborate with medical and psychiatric staff to ensure appropriate admissions.
• Coordinate admission and transfer between levels of care within the facility.
• Verify insurance benefits and disseminate information to patients and staff.
• Gather medical admission documentation and secure initial pre-authorization.
• Assist therapists with reviews to secure continued treatment.
• Coordinate peer-to-peer reviews and share results with the treatment team.
• Provide ongoing assessment of patient status during admissions.

Skills

Clinical experience

Insurance coordination

Customer service

Education

Bachelor’s degree in Behavioral Science or Social Services

RN with Associate's or nursing license (minimum)

Master's degree preferred (therapeutic field)

Job description

Overview

PURPOSE STATEMENT:

Clinical professional responsible for inquiries, assessments, and admissions to the facility.

Responsibilities

ESSENTIAL FUNCTIONS:

• Facilitate admissions and assessment processes for incoming patients.

• Respond to inquiries about the facility within facility policy timeframes.

• Schedule and complete pre-admission assessments and communicate recommendations to patients or their families.

• Collaborate with other facility medical and psychiatric personnel to ensure appropriate recommendations and admissions.

• Coordinate admission and transfer between levels of care within the facility.

• Communicate projected admissions to designated internal representatives promptly.

• Perform insurance benefit verifications, disseminating the information gathered to the patient, their families, and other appropriate facility staff.

• Ensure all medical admission documentation is gathered from external sources prior to patient admission and secure initial pre-authorization for treatment and admission.

• Assist individual therapists with concurrent reviews with insurance companies to secure continued treatment.

• Coordinate and facilitate peer-to-peer reviews when needed and collaborate the results of reviews with the multi-disciplinary treatment team.

• Provide accurate and ongoing assessment of patient status in the admissions process.

• Communicate treatment recommendations to other treatment teams.

• Demonstrate a positive, empathetic, and professional attitude toward customers always. When patient needs are not met, acknowledge and work to resolve complaints. Recognize that patient safety is a top priority.

• When a patient’s needs are not met, acknowledge and work to resolve complaints. Recognize that patient safety is a top priority.

• Demonstrate a sense of urgency related to the importance of patient safety and provide excellent customer service.

• Responsible for conducting safety checks and ensuring that supervision is conducted at 15-minute intervals, as noted in special precautions, or in accordance with individualized supervision guidelines as needed.

OTHER FUNCTIONS:

• Perform other functions and tasks as assigned.

Qualifications

EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:

• Bachelor’s degree in Behavioral Science, Social Services Field, may also be an RN registered nurse, in which case, an Associate's degree in nursing may be the minimum educational requirement or a licensed practical or vocational nurse, in which case, successful completion of an LPN or LVN training program may be the minimum requirement.

• For states in which a therapist may act in this role, a master's degree in a therapeutic field is preferred.

• One or more years’ experience working with individuals in a clinical or observational capacity within the area of specialty for the facility preferred.

LICENSES/DESIGNATIONS/CERTIFICATIONS:

• Licensure, as preferred for the area of clinical specialty as designated by the state in which the facility operates.

• CPR and de-escalation/restraint certification required (training available upon hire and offered by facility).

• First aid may be required based on state or facility.

ADDITIONAL REGULATORY REQUIREMENTS:

We are committed toprovidingequalemploymentopportunitiestoall applicantsforemploymentregardlessofanindividual’scharacteristicsprotected byapplicable state,federalandlocallaws.